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o�a-�ou-uu�u C;ity of ZephyrFtills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received — �--- Phone Contact f P rmittin __yv� <br /> J. <br /> Owner's Name � Q�'j/ � Owner Phone Number l •—�QO <br /> Owners Address (� pCJ Owner Phone Number <br /> Fee Simple Titleholder Name ���� ��J�-- Owner Phone Number �— � <br /> Fee Simple Titlehotder Address <br /> JOB ADDRESS V y (J //j' S LOT� � <br /> SUBDIVISION ��L-��� PARCEL ID* ��a�",��'— Q— Lq ,� a <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> VVORK PROPOSED N TALLSTR 8 REPAIR � SIGN Q Q DEMOLISH <br /> PROPOSED USE SFR Q COMM � OTHER <br /> 7'YPE OF CONSTRUCTION BIOCK Q FRAME C] STEEL Q <br /> DESCRIPTION OF WORK �S��i/� S QL j,1 T GTs�-i c. OT <br /> BUILDING SIZE SQ FOOTAGE 1�1 HEIGHT �� ��r� ����r <br /> �BUILDING a / 7 d�0• Ch C� VALUATION OF TOTAL CONSTRUCTION <br /> [�ELECTRICAL $i� Q�` Q AMP SERVICE ,�--� �_ PROGRESS ENERGY �] W.R.E.0 <br /> �� <br /> �PLUMBING $ � .� ��,T ��,��� � Z�/3 <br /> ✓'oao, od � c� ; c� ���i L_`v� � , �� `�"- <br /> �MECHANICAL $ VALUAT F ( ANICAL�IN�AL dJTION � <br /> � � � <br /> GAS S�uvnl� ��'�C�� �`�— � <br /> Q Q ROOFING SPECIALTY �TH � � <br /> � 0 i�c�—� Q� � �j�/�� � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO ��I <br /> SeC h�'�"e"�'�'�. <br /> � <br /> BUILDER � OMPANY S� LLG <br /> SIGNATURE REGISTERED / N FEE CURRE� Y/N <br /> Address Q � SL.0 ,� (�/ License# � �C �j 67�� <br /> ELECTRICIAN < < ( ��/' � �� COMPANY <br /> SIGNATURE -�L �"`i REGISTERED Y/ N FEE CURRE� Y/N <br /> Address - License# � <br /> PLUMBER ������ � � COMPANY <br /> 31GNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � —� <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> RESIDENTIAL Attach(2)Plot Pla�s;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary FaclliNes 8 1 dumpster;Site Work Permit for subdivisionsAarge proJects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Lffe Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w!Silt Fence instalied, <br /> Sanitary Facllities 8 1 dumpster.Site Work Permit for all new proJects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> •'"•PROPERTY SURVEY required for all NEW consUucdon. <br /> Directions: <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> If over 52500,a NoNce of Commencement is required. (A/C upgrades over 57500) <br /> '• Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of ApplicaUon Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />